This Article Full Text (PDF) All Versions of this Article: 0164027508316607v1 30/4/450    most recent References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Miller, E. A. Articles by Mor, V. Search for Related Content Social Bookmarking                         What's this?

Assessing Experts' Views of the Future of Long-Term Care

Brown University, edward_a_miller{at}brown.edu

Mark Booth

New Zealand Ministry of Health

Vincent Mor

Brown University

Consensus is growing that long-term care delivery, regulation, and financing are no longer viable, a concern that will grow more salient as the population ages. To better understand these prevailing challenges, the authors interviewed experts regarding the current state of long-term care in the United States, the attributes of an ideal long-term care system, and potential areas for reform. The findings highlight the problem of maintaining an adequate workforce despite changing demographics. They also identify commonly agreed upon attributes of an ideal system—person centered, professionally rewarding, integrated, affordable, accountable, community based, and consumer directed—in addition to less commonly identified attributes—supportive, comprehensive, dignified, culturally appropriate, innovative, responsible, and safe and secure. Areas for reform include workforce recruitment and retention, financing and insurance, quality improvement and regulation, health information technology, and organizational change and innovation. The challenges facing long-term care must be addressed by both government and private citizens alike if long-term care recipients' lives are to improve and the increased demand for services is to be met.

Key Words: long-term care • financing • regulation • quality • values • qualitative • interviews

This version was published on July 1, 2008

Research on Aging, Vol. 30, No. 4, 450-473 (2008)
DOI: 10.1177/0164027508316607


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				E. A. Miller, V. Mor, and M. Clark Reforming Long-Term Care in the United States: Findings From a National Survey of Specialists Gerontologist, July 13, 2009; (2009) gnp111v1. [Abstract] [Full Text] [PDF]